Kinds Of Foreign Bodies Research Articles

ENDOSCOPIC TRANSANAL REMOVAL OF EGG FROM RECTOSIGMOIDAL JUNCTION

It is not uncommon that we encounter patients with different kinds of foreign bodies in the rectumfor a variety of reasons. Most of the cases reported in the literature reveal that rectal foreign body insertion is mainly for sexual gratification. To avoid the embarrassment and scrutiny, patients often delay seeking medical help which complicatesmedical management. We discuss a case of a 21-year-old male who presented after voluntary insertion of multiple eggs into the anus. Although the suggested protocol and technique was followed to retrieve the egg and the debris, it still required some creativity and careful methodology.

Subcutaneous Low-Density Foreign Bodies Detection via Grating-Based Multimodal X-ray Imaging

Detecting low-density foreign bodies within soft tissues still stands for a serious challenge. Grating-based multimodal X-ray imaging typically has low hardware requirements while simultaneously providing three kinds of imaging information, i.e., absorption, phase-contrast, and dark-field. We aimed to explore the capacity of grating-based multimodal X-ray imaging technology for detecting common foreign bodies within subcutaneous tissues, and to assess the advantages as well as disadvantages of the three kinds of images obtained via grating-based X-ray multimodal technology in relation to diverse kinds of foreign bodies within different tissues. In this study, metal, glass, wood, plastic, graphite, and ceramic foreign bodies were injected into chunks of the pig adipose tissue and chicken thigh muscles. Next, a grating-based multimodal X-ray imaging device developed in our laboratory was used to detect the above foreign bodies within the adipose and muscle tissues. Our results show that grating-based multimodal X-ray imaging clearly revealed the subcutaneous foreign bodies within the adipose and muscle tissues by acquiring complementary absorption, phase-contrast, and dark-field imaging data in a single shot. Grating-based multimodal X-ray imaging has an exciting potential to detect foreign bodies underneath the epidermis.

Ingestion of razor blades, a rare event: a case report in a psychiatric patient

Foreign body ingestion is a common condition in clinical practice, thankfully most of the cases do not require any surgery as most foreign bodies can pass through the bowel without injuring it. Treatment depends on the size and kind of foreign bodies. When complications arise, patients may require urgent medical attention. Self-harm by sharp foreign body ingestion is a rare event that must always be promptly treated and should always be prevented. Psychiatric patients and inmates are the most affected population. A high index of suspicion is required to treat this rare condition, which may be preventable if there is adequate mental and medical therapy along with close monitoring and family support. We present the case of a 31-year-old psychiatric patient. After prompt treatment, two razor blades were surgically removed from her intestines. She fully recovered and is doing well on follow-up controls.

Methods of maxillary sinus foreign bodies removal

To characterize methods of extraction of foreign bodies of maxillary sinuses, features of postoperative treatment of patients. The experience of treatment of patients with maxillary sinuses foreign bodies in the clinic of ENT of PFSMU of St.Petersburg is presented. In 2019 124 patients undergo treatment of maxillary sinus foreign bodies in our clinic. All surgeries are done by endoscopic endonasal method, mostly via inferior nasal passage. Clinical case of maxillary sinus foreign body removal is presented. Almost any kind of foreign body can be removed from the maxillary sinus endoscopically through the nasal cavity. The most reliable method to diagnose foreign body is computed tomography. In most cases local antibacterial therapy is enough in postoperative period.

Study on Prevalence of Foreign Bodies in ENT

Introduction- Foreign body is a substance that doesn’t belong to a location where it is found. Ear,nose and throat are common location for occurence of foreign bodies. It is a common problem encountered in both adults and children. Objective- 1) To analyse the different kinds of foreign bodies in ear ,nose and throat and their prevalence in different age groups. 2) To analyse the most prevalent site of foreign body among ear, nose and throat.Methods- A cross-sectional study was performed in our tertiary care hospital in Navi-mumbai. The study period was from august 2017 to august 2019. The study population were the patients who came to the out patient department and emergency room of this hospital.Result- A total of 100 patients as sample size with foreign bodies in ear, nose or throat were taken on first come basis. 62 were males and 38 were females. Of the 100 patients, 36 had foreign body in ear, 47 in nose and 17 in the throat. The foreign body was removed under local anaesthesia in 4% patients, with general anaesthesia in 30 % and with no anaesthesia at all in 66% patients. The most common age group affected was less than 10 years among both male and female patients.Conclusion- The most frequent site of foreign body occurrence was found to be nose. The most common site requiring general anaesthesia for foreign body removal was throat. Although most of the foreign bodies could be removed without any anaesthesia in the emergency room or outpatient department.

Advanced neural network solution for detection of lung pathology and foreign body on chest plain radiographs

Objective : An approach was suggested to detect whether patient has any lung pathology or not. Materials and Methods : The approach was based on neural networks-aided analysis of chest X-ray frontal images. The neural network ensemble included 15 neural networks. Some of them were trained to analyze different parts of chest area, e.i. heart, diaphragm, lungs and related parts. And the other set of networks were trained to describe another meta-data of X-rays, such as patient position (laying or standing), quality of image, etc. The set of outputs of every model was aggregated with boosting model then. Result of model prediction was presented as probability of lung pathology on radiograph. Another 2 models were described in this article as parts of suggested approach. One of these model was trained to detect if there any foreign body within chest area on X-ray image or not. Another one was trained to classify which kind of foreign body was visualized (after first model gave positive prediction). To train models 9093 frontal X-ray images were used. Those images were labeled by group of radiologist. Results : The study showed that both foreign bodies detection and classification models demonstrated satisfactory results. The weak part of both models was precision for negative classes (those classes are “non-medical artefact” for one model and “foreign body is not visualized” for the other one). But it was not so critical for such kind of tasks. Conclusions : the model may be used to help a practitioner make decision whether a patient needs additional diagnostics or not.

Intravesical migration of female urethral dilator: a case report of a new urologic emergency in the era of e-commerce

BackgroundThe introduction of foreign bodies in the female urethra for auto-erotic stimulation or in case of psychiatric disorders is not uncommon. The occurrence of intravesical migration of these objects makes it necessary to remove it shortly after insertion, since after long term permanence complications are likely to occurr.Case presentationA 47-year-old white female was referred at our Urology department for migration inside the bladder of a metallic urethral dilator used for sexual stimulation. An ultrasound study and an X-ray plate of the pelvis clearly visualized the presence of an object shaped like a rifle bullet located in the bladder. Twenty-four hours later, the patient reported its spontaneous emission through the urethra during micturition. This was confirmed by US and X-ray imaging.ConclusionsThe retrieval of foreign objects introduced through body orifices with purpose of sexual gratification is a known urological expertise. Curiously, in the case reported, the patient was able to manipulate the object thus facilitating its correct orientation and passage outside the bladder during micturition. To the best of our knowledge this is the first case of documented spontaneous emission through the urethra of a sizable intravesical foreign body. Sexual gratification in females though the insertion of urethral dilators is a growing practice, as demonstrated by the broad proposal of such instruments on the web. Therefore, the occurrence of accidental intravesical displacement of such kind of foreign body is increasingly likely, and the Urologists must be aware of this possibility.

Penetrating trauma of the face and facial skeleton - a case series of six patients.

Penetrating traumas of the facial skeleton are relatively rare; however, they can be dangerous and even life-threatening. The epidemiology of facial skeleton trauma is diverse and depends on the affected region, age, and the kind of foreign body that caused the injury. In Poland, the most common cause of penetrating traumas are accidents and assaults, and only rarely accidents are related to improper use of firecrackers or fireworks. The aim of this study is to present a literature review and our own experience with penetrating traumas of the face and the facial part of the cranium. Six cases with severe wounds and fractures of the facial skeleton were treated between the years 2000 and 2012 in our department. The applied treatment methods depended mainly on the general condition of the patients. In all cases, we achieved acceptable functional and aesthetic outcomes.

The Risk of Mistaking Intestinal Lanthanum Carbonate for Intestinal Bleeding on CT.

Dear Editor, A 65 year-old male was referred to our department of radiology for investigation of rectorrhagia. The patient had a history of hypercholesterolemia, arterial hypertension, type II diabetes, intestinal polyps, diverticulosis, and monoclonal gammopathy leading to chronic renal failure requiring recurrent hemodialysis. During the previous week, the patient had been suffering from severe pulmonary infection accompanied by septic shock with hepatitis. Gastroscopy and colonoscopy were unable to find the cause of the bleeding because of a lack of compliance to the preparation diet. A computed tomography was requested to locate the source of the bleeding. The pre-contrast acquisition showed a number of spontaneously hyper-dense elements throughout the whole intestinal tract, inside the bowel lumen, from the stomach to the rectum exhibiting very sharp edges (better seen on the scout view). The opacities determined marked attenuation of X-rays with densities around 2500 Hounsfield Units (HU) and significant beam-hardening artifacts (Fig. 1). It was first thought that the patient had ingested some kind of foreign body (as suggested by the appearance on the scout examination) that could explain the intestinal bleeding, which he denied. There was also no history of a recent administration of oral contrast. No other relevant cause of bleeding per rectum was found on the CT-scan images. The patient stopped bleeding in the meantime without further intervention. Clinicians from the hemodialysis unit pointed out that the patient had been receiving oral lanthanum carbonate for the last couple of days (1000 mg per day). Lanthanum carbonate is used in the treatment of hyperphosphatemia, often occurring in patients with chronic renal failure. Binding the alimentary phosphate, it reduces the absorption of phosphate in the small bowel. Lanthanum is a heavy metallic element of the third group of the periodic table (the lanthanides), which also includes barium and gadolinium. Its nature itself thereby explains why tablets of lanthanum carbonate exhibit such marked X-rays attenuation. As it has been reported, well-chewed LETTER TO THE EDITOR

Longstanding Multiple Pellets in Head and Neck Following Blast Injury

All kinds of foreign bodies have been described in most part of the body. Head injury after explosion of bomb can result in devastating functional and neurological consequences for patients. There is no consensus in the terms of removing or retaining longstanding foreign bodies such as pellets. We report a case of 55-year old male who suffered from blast injury 35-year ago. Although most of the pellets in the head and neck were still present after secondary blast injury, but there were no symptoms such as lead poisoning, foreign body reaction, recurrent infections to date except feeling of nasal blockade, cold and headache during the winter season.

Retained Foreign Body in Pyothorax: Removal Using Snare Catheter and Endoscopic Biopsy Forcep Under the Fluoroscopic Guidance

Various kinds of foreign bodies in the pleural space have been reported, and most of them were surgically removed (1). The surface coating polyurethane film of the Terumo wire peeled off during thoracentesis, and its fragments remained in the pyothorax in the form of strings in the reported case. We removed the iatrogenic foreign body in the pyothorax by an interventional technique using a snare catheter and endoscopic biopsy forcep.

Craniocerebral vegetal foreign body granuloma: a case report and review of literature

Objective Craniocerebral vegetal foreign body granuloma is rare lesion which is very difficult to diagnose clinically, and is easy to be misdiagnosed. This article aims to reveal the clinical manifestations and histopathological features of it. Methods A case of cerebral vegetal foreign body granuloma was reported focusing on the following aspects: clinical manifestations, histopathological features and immunophenotype and the relevant literature was reviewed. Results A 23-year-old male patient presented with paroxysmal stiffness accompanied by convulsion of extremities and no response for calling for 7 years. Cranial MRI scan demonstrated a small nodular mixed signal shadow about 1.60 cm in length located in the frontal cortex under the anterior horn of the left compartment with gliosis near frontal lobe. A resection was performed, and a lesion (about 3 cm × 2 cm) was found in the bottom of the left frontal lobe. The lesion was greyish brown, tenacious, irregular bordered, partly calcified and with rich blood supply. There was no tumor or parasite but proliferation of fibrous tissue, hyaline degeneration, calcification, infiltration of lymphocytes and plasma cells in the granuloma lesion under microscope. The immunohistochemical staining showed the lesion was positive for vimentin (Vim) and CD68, while negative for glial fibrillary acidic protein (GFAP), S⁃100 protein (S-100) and epithelial membrane antigen (EMA). Conclusion Clinical manifestations of craniocerebral vegetal foreign body granuloma are various according to the occurrence in different parts. Besides, its imaging features are various depending on the kind of foreign body and the persistent duration. However, histopathological observation and immunohistochemical staining facilitate its diagnosis and identification from tumor and parasitic disease. Furthermore, the type of plant can also be distinguished roughly.

Logistic regression analysis of risk factors for prolonged pulmonary recovery in children from aspirated foreign body

ObjectiveForeign body aspiration is a life-threatening emergency for children. Fried chicken is commonly available all over the world, but no cases have previously been reported addressing this food as a tracheobronchial foreign body. We report an extremely rare case of tracheobronchial aspiration of fried chicken complicated by severe bronchitis and postoperative atelectasis. To clarify predisposing factors related to bronchopulmonary complications, we also reviewed paediatric cases of tracheobronchial foreign bodies treated in our department over the past 14 years. MethodsWe retrospectively reviewed a total of 77 cases of tracheobronchial foreign bodies from 1988 to 2011. The main outcome measure was duration of hospitalisation, reflecting postoperative therapy. Logistic regression analyses were conducted to determine risk factors for longer hospitalisation. ResultsAge, sex, and interval between the aspiration episode and bronchoscopy were not significantly associated with longer hospitalisation. Regarding kinds of foreign bodies, higher rates of longer hospitalisation were noted for patients who had aspirated peanut or animal material, as compared to patients who had aspirated non-organic material (odds ratio, 5.80; 95% confidence interval, 1.12–30.43). ConclusionsIn terms of predicting the risk of pulmonary complications, the type of foreign body aspirated offers a more meaningful factor than the interval between aspiration and operation. Specifically, peanuts or animal material containing oils appear to be associated with a more prolonged pulmonary recovery even after retrieval of the foreign body.

A Rare Cause Of Acute Appendicitis: An Ingested Foreign Body

Various kinds of foreign bodies causing appendicitis have been reported. However, a needle contained in the appendix is very rare, especially in adults. We report an unusual case of a twenty year old man who had ingested a needle ten days prior and presented with signs and symptoms of acute abdominal pain. An abdominal computed tomography scan revealed acute appendicitis. The patient was successfully treated with laparoscopic surgical intervention. In cases of a foreign body in the gastrointestinal tract that cannot be removed endoscopically, the emergence of non-specific symptoms may be early symptoms of acute problems in the abdomen.

Manejo de cuerpos extraños nasales y óticos en niños

Foreign bodies in the ears and nose are very frequently seen in the otolaryngology emergency service. The age of the affected patients is generally between 2–5 years. However, this may occur at any age, even in adults. All kinds of foreign bodies can be seen, such as small toys, pencils, Plasticines, seeds, bits of food and even insects. Many of these situations are solved in primary health care and only the most difficult cases come to our speciality. It is important to have knowledge of the anatomy of these areas, knowing the best material to work with, the techniques and extraction alternatives and post-extraction care in order to have the least possible trauma and not cause short and long term sequels.

消化管複数部位のＰＴＰ異物例

The case was a 78-year-old male, complicated with dementia, who consulted our hospital for pneumonia and appetite loss. When we conducted a CT scan of the lung, we incidentally discovered one Press-Through-Pack (PTP) in the upper part of the esophagus, and a deep neck abscess was suspected around the left lobe of thyroid gland. We removed the PTP by direct esophagoscopy and performed a drainage operation for the deep neck abscess. At 6 days postoperation, inflammatory signs appeared from the abdomen. We therefore conducted a CT scan. Four PTPs were noted in the rectum. These were removed using an anoscope by a general surgeon.During the 5-year period from 2002 to 2006, 28 patients with esophageal foreign bodies were treated in our hospital. The kinds of foreign bodies were PTP, denture, saburra, fish bone, and others. In 22 patients, foreign bodies were located in the first narrow part of the esophagus. There were no cases of foreign body presenting in many parts of the digestive tract in our hospital. We have to examine all diseases and investigate the possible presence of foreign bodies carefully in patients such as those with dementia.

上顎洞内異物迷入１６例の臨床的検討

Sixteen cases of accidental insertion of foreign bodies into the maxillary sinus are reviewed. Thepatients were referred to our clinic between May 1994 and April 2004. There were many kinds of foreign bodies, such as tooth roots (50%), implants (13%), root canal filling material (6%), a reamer for dental treatment (6%), an interdental brush (6 %), and a fractured elevator (6%). These foreign bodies were removed in 11 ofthe 16 patients. The other 5 patients were followed up without surgical tratment because they had no symptomsor symptoms improved with drug therapy.

外耳道ポリビニルアルコール異物例

We report the case of a 6-year-old girl with a small, round-shaped foreign body, composed of polyvinyl alcohol, in her right external auditory canal. This foreign body was originally a component of toy beads with which children are able to make variously shaped objects by sticking them together using water. Polyvinyl alcohol is a water-soluble polymer and is employed as an adhesive agent. In our case, it was not easy to remove it because it had fully adhered to her external auditory canal.It is important to note that this kind of foreign body should not be attempted to be removed by water irrigation, as this would cause it to dissolve and stick to the tissue.

Une série de 50 cas d’inhalation de corps étranger au Sud Viêt-nam (cause principale : le noyau de sapotier)

Inhalation of foreign bodies is relatively frequent in children, but exceptional in adults. Various kinds of foreign bodies can be inhaled, the type generally depends on eating habits in adults. We reviewed a series of 50 consecutive cases of inhaled foreign bodies and found that naseberry fruits (Sapodilla plum) was the primary cause, followed by bone debris. This series is typical of Eastern Asia, particularly South Vietnam. Most of the foreign bodies were extracted under local anesthesia using fibroscopy with a foreign body forceps. Most of the foreign bodies were on the right side. The naseberry nut is not radio-opaque, so diagnosis was generally established late after infectious complications. The endoscopic aspect was typical and should be recognized by endoscopists working in Vietnam.

Office-based foreign-body management using videoendoscope

Background The videoendoscope has a small charge-coupled device (CCD) chip built into its tip that provides a clear image. This report concerns office-based pharyngeal and laryngeal foreign-body management using a videoendoscope. Methods Three types of videoendoscopes (videoendoscopes equipped with and also without a hood at their tips and a rigid videoendoscope) were used in this study. Seventeen patients who complained of pharyngeal and laryngeal foreign bodies were treated with these videoendoscopes. Results The advantages of this intervention were (1) videoendoscopes presented clear dynamic color images on a color video monitor and provided excellent resolution and recording and thus yielded high diagnostic accuracy and fine intervention; (2) the videoendoscope’s diameter was relatively small and resulted in less discomfort for patients, even for children; (3) patients could be examined and treated in a sitting position on a procedure chair at the otolaryngology outpatient clinic, which obviated general anesthesia; (4) the videoendoscope equipped with a hood enabled treatment in a closed cavity like the hypopharynx; (5) minute foreign bodies located at the portion of the pharynx, which were hard to examine, could be depicted clearly; (6) pernasal endoscopy allowed the doctor to examine patients who had a strong gag reflex; and (7) good image documentation on the color video monitor allowed the physician to carry out safe intervention. A disadvantage of this procedure was that the extraction of different kinds of foreign bodies was limited, but it depended in part on the efficacy of the forceps. Conclusion Foreign-body extraction using a videoendoscope is one of the reliable procedures that has widened the indications for office-based endoscopy.